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Ascites fluid characteristics
Color
 Bloody: trauma, malignancy, TB (rarely)
 Milky: chylous
 Turbid: possible infection
 Straw color: likely more benign causes
Neutrophils  250/mm3: peritonitis (secondary or spontaneous bacterial)
Total protein
 2.5 g/dL (high-protein ascites)
 CHF, constrictive pericarditis, peritoneal
carcinomatosis, TB, Budd-Chiari syndrome, fungal
 <2.5 g/dL (low-protein ascites)
 Cirrhosis, nephrotic syndrome
SAAG
 1.1 g/dL (indicates portal hypertension)
 Cardiac ascites, cirrhosis, Budd-Chiari syndrome
 <1.1 g/dL (absence of portal hypertension)
 TB, peritoneal carcinomatosis, pancreatic ascites,
nephrotic syndrome

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Ascites fluid characteristics HY

  • 1. Ascites fluid characteristics Color Bloody: trauma, malignancy, TB (rarely) Milky: chylous Turbid: possible infection Straw color: likely more benign causes Neutrophils 250/mm3: peritonitis (secondary or spontaneous bacterial) Total protein 2.5 g/dL (high-protein ascites) CHF, constrictive pericarditis, peritoneal carcinomatosis, TB, Budd-Chiari syndrome, fungal <2.5 g/dL (low-protein ascites) Cirrhosis, nephrotic syndrome SAAG 1.1 g/dL (indicates portal hypertension) Cardiac ascites, cirrhosis, Budd-Chiari syndrome <1.1 g/dL (absence of portal hypertension) TB, peritoneal carcinomatosis, pancreatic ascites, nephrotic syndrome